Pt reports to ED with headache, nausea, vomitting, altered mental status. What is the substance? Rx?

Cyanide

Treat with Nitrates and Hydroxycobalamin

Pt reports to ED with bradycardia, hypotension, and hypoglycemia, with SOB and pulmonary edema signs. What is the substance? Rx?

B-blocker

Treat with Glucagon, Ca, Insulin, Dextrose

Patient presents to ED with tachycardia, elevated temp, pupils are 9mm and appears very agitated. What is the substance? Rx?

Cocaine

Benzodiazepines

ASA and Nitrates for supportive care

Pt reports to ED with Nausea, vomiting, visual changes, and arrhythmias. What is the substance? Rx?

Digoxin

Treat with digoxin abs

Patient presents to ED with abdominal pain, N/V/D, hematemisis, hypotension, metabolic acidosis, liver necrosis with accompaning coagulopathies, drowsiness. He has a seizure and slips into a coma. What is the substance? Rx?

Fe poisoning

Ipecac initially

Deferoxamine

Don't use charcoal or lavage

Patient comes to ED with sedation and respiratory depression. What is the substance? Rx?